Vaccine respiratory syncytial virus bivalent subunit/preservative free im cost at US hospitals
HC Vaccine Respiratory Syncytial Virus Bivalent Subunit/Preservative Free Im · CPT 90678
$69.60
lowest cash price
$538.84
national median
$2,043.51
highest cash price
271
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $69.60–$2,043.51 — the variation is the story.
Median cash price over time
Nov 1, 2025 ($290.00) → Sep 1, 2026 ($588.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $1,514.00 | $1,514.00 | $1,514.00 |
| Arizona | 1 | $69.60 | $69.60 | $69.60 |
| California | 57 | $116.55 | $538.84 | $1,274.40 |
| Colorado | 13 | $628.66 | $986.78 | $1,254.75 |
| Florida | 60 | $498.55 | $498.55 | $746.62 |
| Georgia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $721.67 | $721.67 | $721.67 |
| Illinois | 14 | $184.20 | $555.82 | $1,048.25 |
| Indiana | 25 | $588.40 | $588.40 | $659.71 |
| Iowa | 27 | $251.55 | $403.20 | $1,467.45 |
| Kansas | 4 | $361.44 | $361.44 | $361.44 |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Maryland | 1 | $327.00 | $327.00 | $327.00 |
| Michigan | 15 | $300.00 | $300.00 | $300.00 |
| Minnesota | 5 | $300.00 | $517.14 | $517.14 |
| Missouri | 13 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 12 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $391.27 | $531.55 | $849.56 |
| North Carolina | 12 | $624.00 | $624.00 | $624.00 |
| North Dakota | 2 | $403.55 | $403.55 | $847.53 |
| Ohio | 46 | $222.60 | $746.62 | $907.50 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 9 | $321.44 | $1,563.44 | $1,563.44 |
| Pennsylvania | 19 | $177.00 | $504.00 | $672.00 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 3 | $370.40 | $449.76 | $493.46 |
| Tennessee | 23 | $291.55 | $321.72 | $331.77 |
| Texas | 90 | $184.08 | $637.20 | $2,043.51 |
| Virginia | 18 | $211.80 | $343.10 | $343.10 |
| Washington | 18 | $147.44 | $521.74 | $698.15 |
| West Virginia | 16 | $271.00 | $271.00 | $649.60 |
| Wisconsin | 23 | $290.00 | $305.10 | $542.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $305.10 | $354.00 – $1,007.72 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $308.80 | $354.00 – $1,007.72 |
| Sunnyside Medical Center | CLACKAMAS, OR | $321.44 | not published |
| Westside Medical Center | HILLSBORO, OR | $321.44 | not published |
| Cumberland Medical Center, Inc. | Crossville, TN | $321.72 | $211.12 – $904.82 |
| UPMC Western Maryland | Cumberland, MD | $327.00 | $545.00 – $545.00 |
| Roane County Medical Center | Harriman, TN | $331.77 | $211.12 – $904.82 |
| Fort Loudoun Medical Center | Lenoir City, TN | $331.77 | $211.12 – $904.82 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $331.77 | $211.12 – $904.82 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $331.77 | $211.12 – $904.82 |
| Inova Alexandria Hospital | Alexandria, VA | $343.10 | $36.65 – $431.69 |
| Inova Fairfax Hospital | Falls Church, VA | $343.10 | $36.65 – $431.69 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $343.10 | $36.65 – $431.69 |
| Inova Loudoun Hospital | Leesburg, VA | $343.10 | $36.65 – $431.69 |
| Inova Mount Vernon Hospital | Alexandria, VA | $343.10 | $36.65 – $431.69 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $353.16 | $629.65 – $1,618.65 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | $361.44 | $295.00 – $338.21 |
| Sanford USD Medical Center | Sioux Falls, SD | $370.40 | $155.11 – $416.70 |
| Mercy Medical Center Merced | Merced, CA | $385.74 | $187.25 – $741.51 |
| MercyOne Centerville Medical Center | Centerville, IA | $387.00 | $106.19 – $387.00 |
| Massena Hospital | Massena, NY | $391.27 | not published |
| Gouverneur Hospital | Gouverneur, NY | $391.27 | not published |
| Canton-Potsdam Hospital | Potsdam, NY | $391.27 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $392.31 | $343.62 – $1,544.36 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $403.20 | $278.35 – $463.68 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $403.20 | $131.04 – $333.35 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $403.20 | $278.35 – $357.54 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $403.20 | $278.35 – $333.35 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $403.20 | $278.35 – $333.35 |
| Sanford Medical Center Bismarck | Bismarck, ND | $403.55 | $231.95 – $453.82 |
| Braxton County Memorial Hospital | Gassaway, WV | $406.00 | $584.10 – $584.10 |
| Barnesville Hospital | Barnesville, OH | $406.00 | $584.10 – $584.10 |
| Jackson General Hospital | Ripley, WV | $406.00 | $584.10 – $584.10 |
| Jefferson Medical Center | Ranson, WV | $406.00 | $584.10 – $584.10 |
| Potomac Valley Hospital | Keyser, WV | $406.00 | $584.10 – $584.10 |
| St. Joseph's Hospital | Buckhannon, WV | $406.00 | $584.10 – $584.10 |
| Summersville Regional Medical Center | Summersville, WV | $406.00 | $584.10 – $584.10 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $406.00 | $81.20 – $513.30 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $412.34 | $2,319.41 – $2,577.12 |
| WILLITS HOSPITAL INC | Willits, CA | $435.90 | $312.94 – $1,453.00 |
| Sanford Worthington Medical Center | Worthington, MN | $449.67 | $217.92 – $505.87 |
| Sanford Vermillion Hospital | Vermillion, SD | $449.76 | $165.85 – $505.97 |
| Sanford Hospital Webster | Webster, SD | $493.46 | $193.68 – $555.14 |